Self-care behavior and associated factors among patients with heart failure in public hospitals of Southeast Ethiopia

埃塞俄比亚东南部公立医院心力衰竭患者的自我护理行为及其相关因素

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Abstract

OBJECTIVE: This study was performed to assess self-care behavior and associated factors among patients with heart failure attending public hospitals in Southeast Ethiopia in 2021. METHODS: An institutional-based cross-sectional study was conducted among 420 patients with heart failure from 15 May to 30 June 2021 using a simple random sampling technique. A multivariable binary logistic model was used to identify factors associated with self-care behavior. Statistical significance was declared at p < 0.05. RESULTS: The magnitude of good self-care behavior among patients with heart failure was 53.6% [95% confidence interval (CI), 48.9-58.3]. Factors associated with self-care behavior were treatment with a beta blocker [adjusted odds ratio (AOR), 0.49; 95% CI, 0.27-0.89], treatment with digitalis (AOR, 0.11; 95% CI, 0.05-0.24), the level of social support (AOR, 0.07; 95% CI, 0.03-0.15), and the presence of depressive symptoms (AOR, 0.21; 95% CI, 2.70-8.33). CONCLUSION: Slightly more than half of the respondents had good self-care behavior. Attention should be given to enhancing good self-care practice through integration of health education as routine care.

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